Active NPI
Art Carpenter DDS LTD
- General Practice Dentistry
- Kenilworth, IL
National Provider Identifier
1720153752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 01902433
- Legal business name
- ART CARPENTER DDS LTD
- Practice address
- 450 Green Bay Rd Ste a
Kenilworth, IL 60043-1074 - Phone
- (847) 251-5004
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Art B Carpenter, DDS
- Title
- Owner
- Phone
- (847) 251-5004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 01902433 | IL | Primary |
Addresses
Primary practice location
450 Green Bay Rd Ste a
Kenilworth, IL 60043-1074
Mailing address
450 Green Bay Rd Ste a
Kenilworth, IL 60043-1074
Phone (847) 251-5004
National Provider Directory
National Provider DirectoryLocations
450 Green Bay Rd
Ste A
Kenilworth, IL 60043
Phone (847) 251-5004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Kenilworth, IL
- NPI 1679671655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720153752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 GREEN BAY RD STE A",
"city": "KENILWORTH",
"state": "IL",
"postal_code": "600431074",
"telephone_number": "847-251-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 GREEN BAY RD STE A",
"city": "KENILWORTH",
"state": "IL",
"postal_code": "600431074",
"telephone_number": "847-251-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ART CARPENTER DDS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "ART",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-251-5004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "01902433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenilworth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.